Dr Eva Mae Henderson, MD in Jackson, MS

Dr Eva Mae Henderson, MD is a medicare enrolled "Pediatrics" physician in Jackson, Mississippi. Her current practice location is 350 W Woodrow Wilson Ave, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 709-5150.

Dr Eva Mae Henderson is licensed to practice in Mississippi (license number 10119) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033146725.

Contact Information

	Dr Eva Mae Henderson, MD
	350 W Woodrow Wilson Ave, Jackson, MS 39213-7681
	(601) 709-5150
	(601) 709-5151

Map and Direction

Physician's Profile

Full Name	Dr Eva Mae Henderson
Gender	Female
Speciality	Pediatrics
Location	350 W Woodrow Wilson Ave, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033146725
Provider Enumeration Date: 06/27/2006
Last Update Date: 06/06/2011

Medicare PECOS Information:

PECOS PAC ID: 5890867741
Enrollment ID: I20080709000418

Medical Identifiers

Medical identifiers for Dr Eva Mae Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033146725	NPI	-	NPPES
1692743	Medicaid	LA
00116298	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	10119 (Mississippi)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Eva Mae Henderson allows following entities to bill medicare on her behalf.

Entity Name	Central Mississippi Civic Improvement Association, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134151442 PECOS PAC ID: 4183533235 Enrollment ID: O20040128000125

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Eva Mae Henderson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Eva Mae Henderson, MD Po Box 3437, Jackson, MS 39207-3437 Ph: (601) 362-5321	Dr Eva Mae Henderson, MD 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 Ph: (601) 709-5150

Reviews and Comments

Pediatrics Doctors in Jackson, MS

Lauren K Tucker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5260 Fax: 601-984-2652
Kavipriya Komeswaran, Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-2005 Fax: 601-815-0434
Emily S Weber, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-4520 Fax: 601-984-5982
Mr. Marcelo Eduardo Rains, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 North State Street, Ummc Neonatology, Jackson, MS 39216 Phone: 601-984-1000
Logan Sears Havard, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000
Sitesh Ranen Roy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5249

Dr Eva Mae Henderson, MD - Medicare Pediatrics in Jackson, MS